HomeMy WebLinkAbout101 Country PlD
t
r
JUN 01 2016
Documented Construction Value: $ fj/1015 •W
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: /(o /S ( .l
Job Address: L D I C,00 I 1N P 1 � ��J Historic District: Yes ❑ No ❑
Parcel ID: Residential IX Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person: Title:
Phone:
Fax:
Email:
Property Owner Information
Phone: L4 V) 301P 3 � "1 b
Resident of property? 9 CS
Name .Tu (l e 1 a<x (G�_
Street: :5— - OLD 01(pup—
City, State Zip:
I � Contractor Information n
Name TnhQ �� �� 1CJl.-IJ AIN �11C Phone: . / 33,9- ,,dam ^^3 u6
!�
Street: �3 o` Ct��a 46 _( Fax: ({� 33 Arr (.�U
City, State Zip: Q D(') P� r_1 3. ' /V3 State License No.: Ch 0_c)5 a30
Architect/Engineer Information
Name: iy �� Phone:
Street:
City, St, Zip:
Bonding Company: IV tA-
Address:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction
in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51D Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ]CC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
7 N, -A
a e of Owner/Agent Date
I; e �,e.SC i Q
Plnt Owner/Agent's Name _
15-jr).I '0
Date
Notary Public - State of Florida
Commission # FF 192773
My Comm. Expires Jan 26, 2019
Bonded through National Notary Assn.
Owner/Agent is Personally 1C o n to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of M 'FL X) L- Produced ID ' k d5y ype of ID 777 d`rW
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑
Construction Type:
Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Flood Zone:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
FIRE:
BUILDING:
Revised: June 30, 2015 Permit Application
��•"'"
Si a re o ontractor/A gent
bm 6
Date
Tohn Kek/T.
Print Contractor/Agent's Name
ur"i
Wignatumof-State
of Florida
Date
ip
Owner/Agent is Personally 1C o n to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of M 'FL X) L- Produced ID ' k d5y ype of ID 777 d`rW
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑
Construction Type:
Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Flood Zone:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
FIRE:
BUILDING:
Revised: June 30, 2015 Permit Application
Property Record Card
Parcel: 33-19-30-506-0000-0010
P Owner: BEACH-MASCIA JULIE E
at aoouwn $ammo► Property Address: 101 COUNTRY PL SANFORD, FL 32771
Parcel Information Value Summary
Parcel
33-19-30-506-0000-0010
Owner
BEACH-MASCIA JULIE E
Property Address
101 COUNTRY PL SANFORD, FL 32771
Mailing
101 COUNTRY PL SANFORD, FL 32771-0502
Subdivision Name
COUNTRY PLACE THE
Tax Distnct
S7-SANFORD
DOR Use Code
01 -SINGLE FAMILY
Exemptions 00-HOMESTEAD(2000)
Legal Description
LOT 1
COUNTRY PLACE THE
PB 26 PG 30
Tau Amount without SOH: $1,941.58
2015 Tax Bill Amount $1,292.43
Tax Estimator
Save Our Homes Savings: $649.15
Does NOT INCLUDE Non Ad Valorem Assessments
Taxes
Working
Certified
12016
Values
12015
Values
Valuation Method
Cosi/Market
Cost/Market
Number of Buildings
1
1
Depreciated Bldg Value
$123,638
$118,738
Depreciated EXFT Value
$1,000
$1,000
Land Value (Market)
$34.000
$28,000
Land Value Ag
$66.6
JustfMarketValue'•
$158,638
$147,738
Portability Adj
$50,000
Save Our Homes Adj
$41,986
$31,897
Amendment 1 Adj
$116,652
P&G Adj
$0
$0
Assessed Value
$116,652
$115,841
Tau Amount without SOH: $1,941.58
2015 Tax Bill Amount $1,292.43
Tax Estimator
Save Our Homes Savings: $649.15
Does NOT INCLUDE Non Ad Valorem Assessments
Taxes
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County Bonds
$116.652
$50,000
$66.6
SJWM(Saint Johns Water Management)
$116,652
$50,000
$66,6
County General Fund
$116,652
$100,000
$16,6
City Sanford
$116,652
$50,000
$66,6
Schools
$116,652
$25,000
$9116
Sales
Description
Date
Book Page
Amount
Qualified
Vactimp
WARRANTY DEED
5/1/199903660
9
$93,000 Yes
Improved
WARRANTY DEED
611/1995
02939 1405
$66,500 Yes
Improved
QUIT CLAIM DEED
4/1/1993
02893 0744
$101,000 No
Improved
WARRANTY DEED
3/1/1986
01723 1241
$100,000 No
Improved
Flnd Comparapl0 Sales
Land
Method Frontage
Depth
Units
Units Price
Land Value
LOT
0.00
0.00
1
$34,000.00
$34,0
Building Information
d/Bath 1n 7 Click Here
/ f Proud Mcmkr Phone: 407-332-0345
A Fully Licensed State Certified
Roofing Company . ` Fax: 407-332-0243
h ff2l
johnke11er5@cfl.rrcom
Lic.#CC-C058308
ggg, www.johnkellerroofing.com
CLIENT (7I �� // �`/A
/
PH.�✓� / �/
DATE
A"
ADDRESS /v / /
DAYTIME II
FAX N
\ 1
PROPERTYADDRESS
REMOVE EXISTING ROOF/INSPECT FOR WOOD ROT ✓ INSTALL NEW ARCHITECTURAU34A"HW G&Xb8-
✓ INS ALL NEW UNDERLAYMENT
( Ib) ASPHALT COATED FELT/ �/V/
_ ( Ib) DOUBLE LAYER OF FELT FOR LOW SLOPE ��/f �% i '�• �'X S
(43 Ib) OVER FELT NAIL BASE FOR MODIFIED BIT. S/A
SYNTHETIC S/A FOR METALS ROOFS
r/ INSTALL NEW PIPE FLASHINGS & EXHAUST VENTS
_✓ PIPE FLASHINGS & EXHAUST VENTS TO BE PAINTED
FLASHINGS AND VENTS SUPPLIED BY OTHERS
/ If
✓ INSTALL NEW ANGLE FLASHING WHERE EAVE MEETS
ROOF DECK. (BEHIND FASCIA BOARD/ALUMINUM)
/ SHINGLE COLOR
INSTALL NEW EAVE METAL: SIZE: COLOR:14AW
_
INSTALL NEW _ INSTALL NEW METAL PANEL ROOF
_
ICE & WATER SHIELD SHIELD—VALLEYS ARE CLOSED _ ULTRA RIB PANEL
CUT _ V - CRIMP
STANDING SEAM
INSTALL DIVERTER/CRICKETT BEHIND CHIMNEY _
_ INSTALL NEW FLASHING/_ AND COUNTER FLASHING _ INSTALL GRANULATED MODIFIED
SEAL W/ POLYURETHANE BITUMEN LOW SLOPE SYSTEM
COLD PROCESS MOP DOWN
_ INSTALL( ) NEW SKYLIGHT(S)SIZE: _
SBS SELF ADHERING
GLASS TOP ONLY —PLASTIC DOME ONLY _
_
_ FLUSH MOUNTED PLASTIC DOME MODIFIED COLOR
_ FACTORY SEALED CURB & PLASTIC DOME - V/ROTTEN WOOD REPLACED ATA SEPARATE
FACTORY SEA LEDCURB&GLASS TOP(DOUBLEPANE) RATE OF $5.50 PER LINEAL FT. OF BOARD
REUSE EXISTING SKYLIGHTS/NO WARRANTY
/— AND/OR $60.00 PER SHEET OF PLYWOOD.
V INSTALL NEW ATTIC VENTILATION SYSTEM A HIGHER RATE WILL APPLY FOR CEDAR
_ INSTALL( )OFF -RIDGE ATTIC VENT(S) /��OARDS AND NON-STANDARD PLYWOOD.
INSTALL( )TURBINE VENTS FOR LOW SLOPE ✓ PROPERTYO%VNER(S)ARERESPONSIBLEFOR
VENTS
INSTALL SHINGLE OVER ATTIC RIDGE ON
ENTIRE RIDGE( ) FT./50YR-1IOMPH TESTED REMOVAL OF SOLAR PANELS, SATELLITE
_ INSTALL METAL ATTIC RIDGE VENTS( ) FT. DISHES, AND GUTTERING.
ALL REROOFS INCLUDE A TOTAL CLEAN UP A'ND MAGNETIC SWEEP
ALL LABOR WARRANTED AGAINST LEAKS FOR A PERIOD OF: f
fM
WE PROPOSE TO FURNISH PERMITS, LABOR, AND MATERIALS IN ACCORDANCE WITH ABOVE SPECIFICATIONS FOR
THE AMOUNT OF DOLLARS ($ 79 JU• !� )
_�INO DEPOSIT REQUIRED. PAYMENT IS DUE IN FULL UPON COMPLETION. 7 7.,)5` UJ (t /(a, %/`-4:5 \> I��G'!�
_ 40% DEPOSIT FOR CUSTOM ORDER MATERIALS. BALANCE DUE IN FULL UPON COMPLETION.
ACCESS TO AND FROM STRUCTURE IS REQUIRED FOR MATERIAL DELIVERY AND DISPOSAL CONTRACTOR AND CONTRACTORS AGENT ARE NOT RESPONSIBLE FOR DAMAGE TO
DRIVEWAYS. SIDEWALKS. OR CEILINGS. ALL LEFTOVER MATERIALS ARE PROPERTY OF JOHN KELLER ROOFING INC. PROPERTY OWNER(S) TO CARRY FIRE, TORNADO. AND OTHER
NECESSARY INSURANCE. SIGNED CONTRACTS NOT FULFILLED BY PROPERTY OWNER(S)ARE SUBJECT TOA FEE EQUAL TO IV% OF CONTRACT VALUE. ALL INVOICES SUBJECT TO
EXPENSES INCURRED IN COLLECTION TO INCLUDE, BUT NOT LIMITED TO ATTORNEYS FEES. PAYMENTS NOT RENDERED IN ACCORDANCE WITH CONTRACT AGREEMENT ARE
ACCEPTANCE OFPROP SAL—THEABOVEPRICE,SPECIFICATIONSANDCONDITIONSARESATISFACTORYANDAREHEREBYACCEPTED.
YOU ARE AUTHORIZ TO MT5E WORK AND PAYMENT WILL BE MADE AS)OUTLIIJD ABOVE_
SIGNATUR
A
THIS INSTRUMENT PREPARED BY:
Name: LISA KELLER
Address: 2312 CLARK ST. B-13
APOPKA, FL. 32703
NOTICE OF COMMENCEMENT
Permit Number.
Parcel ID Number: 33-19-30-506-0000-0010
1111111111111111111111111111111111111111
nARYANNE 110RSE, SE11INDLE COUNTY
CLERK OF CIRCUIT COURT i'. COMPTROLLER
BK 8698 f'9 461 (IF -9s)
CLERK'S : 2016056390
RECORDEU U6/01/2016 10:49:28 AI'I
REC:ORD114G FEES $10.oit
RECONDLU BY tsmith
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) ; ���^• boy
LOT 1 COUNTRY PLACE THE PB 26 PG 30 _""W�'�fE�'• �;
2. GENERAL DESCRIPTION OF IMPROVEMENT:
' .
YANET GONZALEZ
REROOF
a
co
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
O
Name and address: JULIE MASCIA 101 COUNTRY PLACE SANFORD FL. 32771
z
eV
Interest in property: OWNER
_0
"' a
i"l
Fee Simple Title Holder (if other than owner listed above) Name: N/A
a R s
Address: -----------
c t=LL
Z
4. CONTRACTOR: Name: JOHN KELLER ROOFING, INC Phone Number: 407-332-0345
°� z
•�
Address: 2312 CLARK ST. B-13 APOPKA FL. 32703
i
5. SURETY (If applicable, a copy of the payment bond Is attached): Name: N/A
W o a
Address: ------ Amount of Bond:-Vvr I
6. LENDER: Name: N/A Phone Number: --------
Address: ---------
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713A3(1)(a)7., Florida Statutes.
Name. N/A Phone Number. -----------
Address: ---------- —
8. In addition, Owner designates -------- of ------
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: -------
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
WARNING TO OWNER. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE C MENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
JULIE MASCINOWNER
11�vl ignature of Owner or Lhqe, or Owners or Lessee's (Print Name and Provide Signatory's Title/OMce)
Authorized OKcer/Duedor/Panner/Manager)
State of �lm�o�Q County of (�rn•�dc
The foregoing instrument was acknowledged before me this ofy day of 201
by lie �Q,SCIWho is personally known to me D OR
Name of person making statement
who has produced Identification* type of identification produced: r * LDS- jAC0J^�,�
LI -a 5 q 1 7 a -D' 0
' .
YANET GONZALEZ
Notary Public . State of Florida
Commission # FF 192773
.7�u4�
My Comm. Expires Jan 26, 2019
Bonded through National Notary Assn.
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: t -I -1/0
1 hereby name and appoint: l 1 er
an agent of. 'bl' I n Ke W V 0,Do/-/ (i
(Name of Company)
to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
O The specific permit and application for work located at:
I n I rnty)+i -) J D 1 S8 o f--na') .;a? Q/7
J (Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: J.(-) Y) 4ej I Pf
State License Number:
Signature of License Holder:
STATE OF FLORIPA,
COUNTY OF
The foregoing instrumen was c o dged before me this_Z,
565—y of
20id� by who is ify ally known
to me or o w h s produced e�P as
identification d who did (did not take an oath.
gn re
(Notary Seal)
,��'►` �S+t JINN AOCOMgNpp
.= MY COMMISSION 1 FF 822881
v EXPIRES: October 18, 2018
Jf • r Bonded Thiu NDwy PupAe UiWmM4n
(Rev. 08.12)
Tp ttet✓ b ,&i J
Print or type name
Notary Public - State of er2�
Commission No.
My Commission Expires:
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: i 1 16& 1
I, ✓ p hf) r ic I I hereby acknowledge that I personally inspected
D400f deck nailing and/or 9.9'econdary water barrier work
at Pr)( )nfiYU P 1 l( e 0 56rfl) X71
and have determined that the work
(Job Site Address) J
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.)
I certify that my statements herein are true and accurate to the best of my belief and that I fully
understand that making any false statements in writing with the intent to mislead a public servant in the
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Section 837.06 F.S.
1-t— - C, b 3 �(
Signa4e o Contractor Date
�o r) KdI CK, C(� Cb5�3d8
Printed Name of Contractor License #
License Type: 0 General 0 Building 0 Residential X Roofing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
s
STATE OF FLORIDA COUNTY OF
Sw G(or armed and subscribed before me this l day of 2016 , by
�✓' who isq'Personally Known to me or has 0 Produced (type of
' e 'fication )4 fie- as identification.
(SEAL)
of Notary Public
J zh-y
Print/Type/Stamp Name
of Notary Public
; JO MSSION ANoo
RA.
�. MY COMMISSION i FF AP2891
y EXPIRES: October 18 2019
1'41tb WI. Bonded ThN"PuM UndW A M